HomeMy WebLinkAboutBLDG 07-0171
CITY OF P~ i~~ BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
0t:.. UT~ECTION PERMIT
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File
City
Applicant
PERMIT NO. 07- () /7/
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER ~
(Name) SER~EY Vt,~.j;::>O~
(Address)
(Phone) q 52... zSO ~ Gf 57
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition DAlteration DUtility ConnectIon
D;'::L:L;:'~:. ~ ~';:u., ~~ J
PROJECT COST IV ALUE $ 1
(excluding land) I
I
CODE: OLR.C. OLB.C. o Mise
Type of Constmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
I hereby certify that I have hlfmshcd mfnrmation on this application whICh IS to the best of my knowledge trut' and correct. I also certify that I am the owner n!" authorized agent for the
abllve-mentlllned property and that all Cllnstructllln WIll confnrm tll all extstmg state and local laws and will proceed in accnrdance with submitted plans I am aware that the blllldmg
official can revoke tl11.S permit for list cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform nccded lnSpcctHlIlS
~. Z.g.07
Date
x
Permit Valuation _~ () o. DO
Permit Fee $ 25,00
Plan Check Fce $ /&25"
State Surcharge $ ,-SO
i Penalty $
i
! Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $ i
This Application Becomes Your Building Permit When Approved
~~
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l~lIi1dll1g ()rtl~ial
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I", $
Pressure Reducer $
Sewer/Water ConnectIOn Fee # $
,
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 7ft. ~
~~~ ~~:t7
I Receipt NO'Y3 ~(J
By ~.
ThiS IS to certify that the request in the abuve applicatIon and accompanymg documents is 111 accordance with the City Zoning Ordinance and may procecd as requcsted. ThIS document
when signed by the City Plannl'r constitutes a tempurary Certificate of Zonll1g complIance and allows constructlon to commence Before occupancy, a Certlfi.cate llf Occupancy mLlst be
I\Slled
Planning Director
Spe~ial Conditions, if any
Date
24 hOllr noticc for all inspcctions (952) ....7-9850. fax (952) ....7-..2..5
4646 Dakota Street Prior Lake. MN 55372